Loading...
HomeMy WebLinkAbout1217 Magnolia Ave (2)w$ CITY OF SANFORD BUILDING & FIRE PREVENTION -� — PERMIT APPLICATION Application No • / a- / 3 � G Documented Construction Value: $ 11,049.28 Job Address: 1217 Magnolia Ave, Sanford, FL, 32771 Historic District: Yes ❑ No ❑ Parcel ID: 25-19-30-5AG-1402-009A Residential ❑X Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair El Demo ❑ Change of Use ❑ Move ❑ Description of Work: Complete Re -Roof, GAF 30 year asphalt shingle, 30 sq, 6/12 pitch Plan Review Contact Person: Peter Arcomone Phone: 407-677-7663 Fax: 407-677-7664 Title: Production Manager Email: pete@jaeofamerica.com Property Owner Information Name Joyce Qualls Phone: 407-756-9520 Street: 1217 Magnolia Ave Resident of property? City, State Zip: Sanford FI 39771 Contractor Information Name JA Edwards of America, Inc. Street: 7058 Stapoint Ct City, State Zip: Winter Park, FL 32792 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 407-677-7663 Fax: 407-677-7664 Yes State License No.: CCCO57521 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 2018 Working 2017 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Deprecated Bldg Value $158,018 $148,679 i Depreciated EXFT Value $600 $600 Land Value (Market) $20,400 $20,400 Land Value Ag lust,Warket Value x' $179,018 $169,679 Portability Adj Save Our Homes Adj $41,598 $35,085 ( Amendment 1 Adj = $0 P&G Adj $0 $0 Assessed Value $137,420 $134,594 Tax Amount without SOH: $2,443.10 2017 Tax Bill Amount $1,775.01 Tax Estimator Save Our Homes Savings: $668.09 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description S 60 FT OF LOTS 9 + 10 BLK 14TR2 TOWN OF SANFORD PB 1 PG 60 Taxes Taxing Authority _ Assessment Value Exempt Values Taxable Value ..._ . .... - - ---__--- ....._.._._. County General Fund M___.... $137,420 $50,000$87 420! Schools $137,420 $25,000 $112,420 ( City Sanford $137,420 $50,000 $87,420 SJWM(Saint Johns Water Management) $137,420 $50,000 $87,420 County Bonds $137,420 $50,000 $87,420 __ _._ -._ Sales�� .., _. __ � _...... _ ... �_ _._...... .. _. Description i Date _ Book .._... W.._....... . _..__ ._ Page Amount ._. .._............................ _._ , ..... Qualified Vac/Imp ._. r WARRANTY DEED 11/1/2007 06i70 m... 03 6 _ $275,000 Yes Improved WARRANTY DEED i 11/1/1989 0.2728. 1243 ... ................. ......... $86,500 Yes Improved Fimd Comparable Sales __. _..... _ _ ._...._. Land _.__ ;.._ ..... _. .- _._ . ... .... _.._. Method Frontage _._._._ ....... __.... _. _.._._ _�...._.. Depth Units _._. _ ._....... Units Price i Land Value _. l FRONT FOOT & DEPTH 60.00 117.00 • � � � 0 $340.00 20,4 $00 2 ,4 Building Information Is Bed/Bath count incorrect? Click Here. Year BuiltActual/Effective # # Description Fixtures Bed Bath ( Base Area Total SF Living SF Ext Wall Ad/ Value Repl Value Appendages .,. 1 SINGLE 1925/1970 6 6 2,5 5 1,178 3,379 € 2,842 SIDING $158 018 ? $216 463 < ° ...� j Description ' .._ . ? I Area FAMILY GRADE 19200;, http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AG1402009A 3/14/2018 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be Mound in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. ��Xj e JLO) '?-x-je a er/Agent Date 30tve C.. Its Print Owner/Age is N me Signature of t Notary- �St Date ;ostpv PueLo %� �COMONE * Commission # GG 187137 Q Expires February18, 2022 �lFOF E1.��o Boded Tlw Bud8d �'$WIM Owner/Agent is , Personally Known to Me or Produced ID % Type of ID V-1 . Ql Signature of Contractor/Agent Date C-J ei G- cA W"sn'c obcf Print Contractor/Agent's Name &h I ) Q 4 SigVature of Notary -State of Florida Date o"yLy?u8,� LORI•ANNARCOMONE " c Commission # GG 187137 1 Q. Expires February 18, 2022 9lFOf FI�P\ goaded nW Budget Notary Services Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONIN : ' k5' 11UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING:. Revised: January 1, 2018 Permit Application r ' SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: w6 fNfC CNY_Nof_ 'e an agent of: ) P GC\WS_.c C�,S 0 � NIA)e_-1-1 op, ,' V" C (Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ❑ All permits and applications submitted by this contractor. The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: ' DCA I License Holder Name: _C)Cao ( nA SCV 0)Dz__r State License Number: Signature of License H( STATE OF FLO COUNTY OF The fo egoing instrument was acknowle ged before me this day of � e� 20� , by Irs who is personally known to me or ❑ who has produced and who did (did not) take an oath. Signature of Notary 2o��Y aue��c RENEE C. COLLINS „ commission # GG 172994 # Expires January 7, 2022 T ��lEOFF��? ::1��a�:&!dGal�YSuvKeS as identification Print or type Notary name Notary Public - State of—FA-Ge-uM / Commission No. L 0? /^7Z� My Commission Expires: 1 17122 0 THIS INSTRUMENT PREPARE'O BY:Q :kec Name: JA Edwards of America, Inc Address: _7058 Stapoint Ct. Winter Park FI. 32792 NOTICE OF COMMENCEMENT Permit Number: Parcel IDNumber: 5—, --,::� GRANT NALOYF SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BY, 9i �92 Ps 271 (1P9e ) CLERK'S T 2018028717 RECORDED C13/15/2018 10'-45.50 AM RECORDING FEES $10.00 RECORDED BY jeckenro The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. ESCRI TJON OF ROPE TY: (regal descrip ion of the pro erty and street address i a I b t r(n �- n �v S A �► 'chi C� cam(>I 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -Roof 3. OWNER INFORMA Name and address: Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: JA Edwards of America, Inc. Phone Number: 407.677.7663 Address: 7058 Stapoint Ct. Winter Park FI. 32792 S. SURETY (If applicable, a copy of the payment bond is attached): Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. o-`Rlkild� � 6,00 (' at, 0) )115 (Signal o or Lessee, or CjWers or Lessee's (Print Name and Pro de Signatory's Title/Office) Auth cer/Director/P er/Manager) State of County of no The foregoing instrument was acknowledged before me this \J day of C_�b 0 by 1� l 1J� %L l l S Who is personally known to me ❑ OR Q ^ Q Name of pars n making statement r C1 who has produced identification type of identification produced: l a u n gyPU6 LORI•ANNARCOMONE Cr _A ion,...•. C * Commission # GG 187137 Expires February 18, 2022 0 % .1 Ji x ~ a fIFOF FIOQ eofbed Tlru Budget Notary Semom Notary Signature w U. d O O 'iaGV<- d "i i W >- VV<C4A LD1 C0 O CV a CITY OF Ski4FORD FLORIDA APPLICATION # .t g f t 33 Z FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications,. will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6146 to ensure your application is complete. General Information Downtown Commercial Historic District❑ Residential Historic District[dls this a retroactive request? Yes❑ No[] Is this application filed in response to a Notice of Violation from the Code Enforcement,Department? Yes[] No❑ Proposed_ improvements will affect the following elevations: North❑ South ❑ East-0 West 11 Property Address:' Property Oi Print Name: Mailing Addr Phone: 7 Applicant/Agent Information Print Name: �iGf Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING' DEPARTMENT. TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT. WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND- ACCURATE TO THE BEST OF YOUR KNOWLEDGE. I hereby. understand and agree to the above statements and will pay all city fees related to this application as required by the city's adopted F Resolution. Signature: Date:" �U ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 N. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP ��CCr � iii�'•rc?U r t. R y�rono� �roCITY OF FLORIDA APPLICATION # k g t 3 3 Z_ FOR A CERTIFICATE OF APPOPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District1dls this a retroactive request? Yes[] No❑ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] No❑ Proposed. improvements will affect the following elevations: North ❑ South ❑ East ❑ West ❑ Property Address: Property 0i - _ •• Print Name: Mailing Addi Phone: 40 Applicant/Agent Information Print Name: Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. 1 hereby understand and agree to the above statements and will pay all city fees related to this application as required by the city's adopted F Resolution. Signature: Nv-a-a Date: ,—li9 ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 N. Park Avenue. • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP Oc4�,�rona ^co • U�= lST. 13�1 FLORIDF CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Joyce Qualls for 1217 Magnolia Avenue Sanford, FL 32771 DATE ISSUED: March 13, 2018 DATE EXPIRES: BP#18-1332 September 14, 2018 Approved to remove and replace existing shingle roof with new GAF Architectural shingles in color: Birchwood. All pitched roof surfaces must match including porches and any additions; no partial re -roofs permitted. If visible wood replacement is necessary, a separate CofA must be submitted with photos reflecting the repair areas. Christine Dalton, AICP Historic Preservation Officer/Community Officer Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the chang s. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? ❑ YES ❑ NO �t) f. FcWtr--eb - Building Department Representative CITY OF PERMIT # �.ORD Building & Fire Prevention Division FIRE DEPaRTM E NT RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 1217 Magnolia Ave, Sanford, FL, 32771 STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: © REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * * ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 Qx 4:12 OR GREATER O TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE GAF FL# 10124-R20 O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# t ,, ►� �-� ��'� .` �� ��) gar r Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. "PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION • COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK • COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) • DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS • SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. r •� CONTRACTOR (OR OWNER/BUILDER) SIGNATURE( j —Q G r— "'Ca' V V( DATE: 02-20-1 $ CITY OF RDi',UO Building & Fire Prevention Division RESIDENTLAL RE ROOFAFFIDAVIT 6 FIRE QEPARTIvCEIVT' RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I S - 1,579 ADDRESS: 1217 Magnolia Ave Sanford, FL, 32771 I Gerald LaSchobef , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR <2rT5F'1N6CONTRA_CT01, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS - SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: CCCO57521 COMPANY / CONTRACTOR: JA Edwa O , Inc. CONTRACTOR SIGNATURE: DATE: q1 WIR_ (MUST BE SIGNED BY LICENSE HOLDER OR OWNERIBUILDER) A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. "FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OF ,5E M I k/Dlk Sworn to and Subscribed before me this (e day of AVA L 20 18 by: �UZMD Who is Q'Personally Known to me or has ❑ Produced (type of identification as identification. �4(_ Signature of Notary Public ter w¢¢ � RaENEE C. COWNS State of Florida +�'01""';'F* ' Commission # GG 172994 j A'olla /e NExpires January 7, 2022 (, LB Sorded TTN Budget 4ppy 4CrM Print/Type/Stamp Name of Notary Public